PROVIDENCE CORPORATION
Agencies at Ridge Ave, Philadelphia, PA

License number
Pennsylvania CER-00092467
Category
Nursing
Type
Adult Care Home
License number
Pennsylvania CER-00092467
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
License number
Pennsylvania CER-00092467
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: ELVIRA N BERRY JD
Title: EXECUTIVE DIRECTOR
Phone: (484) 746-0064
Address
Address
7928 Ridge Ave FLOOR FIRST, Philadelphia, PA 19128
National Provider ID: 1518320373
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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